I realize these detailed review videos are very long. The reason is that I try to include as much information as possible to allow all of you fellow diabetics to have all the information you need to be able to decide if t:slim X2 is a good fit for you. It takes a lot of time and energy to analyse every bit of the system but I love doing that. And I always want to improve so I would love to hear your feedback to see whether there is anything I can do better in my future review videos. Please let me know! Love you all! I appreciate your support! If you enjoyed the video you might want to: - Subscribe to my channel by clicking this link ?sub_confirmation=1 - Say thank you and use the new "super thanks" feature. - Join as a channel member by clicking on the "JOIN" button below the video - Join my Patreon community www.patreon.com/typeonetalks - Book a private session with me calendly.com/typeonetalks
Tom - I've been watching your videos for about two weeks now and I am really enjoying the content. I've been using pump therapy for about 15 years now and one of the things I struggle with is managing blood sugar levels during exercise. I like the exercise feature with the X2, but i still find myself dropping low even with exercise mode enabled and can barely squeeze out an hour of vigorous workout. I would be interested in seeing a video on how you manage your sugars during exercise. Do you get your sugar high so you can burn them off (this is what I have been doing). Very interested on your take with this topic. Thanks!
@@scottbarnard7459 Hi Scott. Thank you very much for your kind words. That’s a great question you are asking. I’ve been fine tuning that for years and I thing Ive found a pretty effective way to do that. Check out this video. Might help (but probably not addressing your question fully. ua-cam.com/video/8kuKKVXOAJQ/v-deo.html Unfortunately, this so such a specific question that making a video only about this complex topic would not be interesting for the majority of my subscribers. But I can also offer you a paid private session or membership in my Patreon community where I respond to my supporters’ questions on 1 on 1 basis or by creating dedicated videos. Hope this helps!
Freaks me out that a pump will control my insulin intake to some degree. But it is time for me to get a pump as the management of T1 is starting to affect my mental health. Getting significant burnout. Kudos to all T1 folks out there. You rock!
You sound just like me! Was on MDI for past three years. Got tired of sticking myself. Just started tandem with control IQ. Pump will give me a correction bolus if needed. It’s more conservative than I would have given and probably gone low. So trying to trust pump 😂
I’m 26 I’ve had t1 since I was 6 and over the last few years even with daily exercise and proper nutrition and injections my a1c has been horrible … I feel your burnout , stay strong and stay positive my friend.
these are really great videos. A couple of minor points: (longtime T-Slim user, previous Medtronic user of 20+ years) 1 -- I like to cut a small hole in the pockets of my pants, I can thread the tubing thru the pocket, so my pump sits comfortably in my pocket, inlacing the connector, which is hidden 2-- very recently, I had a catastrophic pump failure. I had called support several times complaining of new noises while pumping and odd battery behavior when recharging. I was told my pump was normal. Last week, the pump suddenly provided an error that could not be recovered (malfunction code 0-0x26D0) and suddenly I was without a pump. I was able to locate my old medtronic pump, and Tandem support got me a replacement in 2 days. TWO VERY LONG DAYS. I wasn't thrilled with support. Medtronic used to be fantastic, but in later years, they lost their gold stars in my book. My take-away from this, I felt that if I had the ability to remove and install a new battery, or provide some kind of "reboot" it might have got me pumping again for a short time. I did power off my pump, and then it would not power on at all.
Very good to know as someone probably going to switch away from medtronic! Medtronic got me a replacement pump in like an hour after i called them, because they had a distributor person in my city. Scary that Tandem took that long
@colin5227 Medronincs 670g almost killed me as it malfunctioned after 3 months with 0 damage. They blamed it on the clear Retainer Ring but mine had the new black composite ring. Medtronic has a plethora of C.A Lawsuits against them for failures with almost all of their D.M.E. their cgm compatible device is trash, it has a piece of what looks like metal material on a spacecraft inside of you while as Dexcom working with Tandem tests the fluid around your skin inside of your body with a tiny needle giving you more accurate and worthwhile care. At the end of the day Dexcom almost killed me, has a faulty computer in their pumps and u have a video 6 hours long showing my pump with 0 damage 3 months after being manufactured giving me 3x the amount of insulin per hour and per dosage as normal.i sued them in small claims court and they settled immediately for funds to buy a new pump as I was still in warranty at the time
I’ve been on Medtronic for years but I’m really considering changing. Their customer support is awful, their Gaurdian sensor is highly inferior to Dexcom (at least the 3 was, I couldn’t trust that thing during mealtime).
I just got my pump a week ago and then came across your video. Excellent presentation and I agree on all points! (Former Medtroic client fir 20 years) I am from the USA. The insulin waste is my greatest dis-satisfaction!!! I have a 20 percent co-pay and insulin is extremely expensive. Great video’s.
Same here! I miss my Medtronic pump because of this issue. The 10.2 unit safety feature is unnecessary. It gets me so upset when I mess up and have to sit there as it delivers 10.2 more units of insulin! A total waste!
A couple of comments: (1) Minimum amount of insulin that can be infused is .05 units and not .01 units. (2) Once a bolus has been started it can be stopped before it is fully infused. Once started, there is a red X displayed and when pressed it will stop the infusion. (3) You mentioned, during the infusion set change, perhaps neglecting to fill the cannula, then having to start all over again and waste insulin. You can select the "Fill cannula" directly and fill the cannula only. Very useful if an infusion set gets pulled out or you feel you need to change the cannula. I personally don't set up infusion set reminders and will change the set when there is less than 5 units indicated in the cartridge. Generally 3-4 days depending. Sometimes it may mean wasting a bit of insulin if that low amount will not get me through the night or interfere with my day. Informative video.
Minimum amount of delivery is indeed 0.05 units, but what he said in the video is that the delivery precision was to 0.01 units. So the minimum you can deliver is 0.05 units, but if you chose 0.06 units, you would indeed get 0.01 units more than 0.05 units
The canula thing isn't much of a problem the main problem is that it forces you to fill tubing after cartridge change. This is ok when you actually have a cartridge to fill, but given the fact that the pump stores your session in some volatile memory, it erases it when it dies, thus you have to refill tubing after your pump dies and you charge it, even if you just filled the tubing. The same happens when you put in less than 50 units. Sure 50 unit minimum is fine if its needed for pump, but if it doesn't remember that it was *jus* filled (and tubing), you waste 10 extra units after refilling to meet 50 unit requirement.
@@JacobRy I have no experience in losing parameters due to a fully discharged battery as you indicate. The pump does alert you when the battery is getting low. Just have to be mindful of that.
Good video. Thanks Tom! I have seen that there is already an integration between the dexcom g7 and the t-slim x2 pump in some countries. For example in the USA since the end of 2023 or in Germany as of recently. If there are more new features through that you could make your next video about that. Best regards from Germany
When I got my tandem t slim x 2 end of last April they gave me two power cords. I keep one with me while I travel outside my home in my carry bag and the other stays in my apartment for inside use. If one ever stops working I will purchase another that way I have a spare always. When I went away for 17 days I took both chargers with me. That way I had a back up in case either one stopped working.
Good to know, making me almost regret our choice for my toddler if it's long and slow to fill. With a toddler I have needed to learn to but super quick with his dexcom or any injection since he just doesn't understand. I am hoping it works out as here only dexcom g6 works with pumps and only Tandum right now.
Its can be struggle for sure but you control it or it controls you. Just like waves in the surf, you will learn to go along with them and make it part of your life. Once you get control, it will be like riding a bike. If you are Type 1 its just a fact of life now and you can have a great, fun, enjoyable life with diabetes. I know I have so far, T1d for 30+ years so far.
When you go through the airport, don't go through the x-ray machine, instead ask for a hand search or Pat down. I do it all the time and never had a problem.
I'm curious how you found out that the cartridge had 15-20% remaining insulin. Did you crack open a cartridge? Or is it based on filling with approximately 280 units and seeing the "+240" shown on the display after starting a new cartridge. Sorry for the deluge of comments, there was a lot of interesting content in the video
What rhis pump like with no cgm. In my country theyre very expencive and unless we pay, we get the cgm but doesnt sync like the dexcom one or libre 2. So how is this pump when not using the cgms
Question. In the instruction manual of the t-slim x2 pump it says one should change the black reservoir every 48-72 hours. What is your experience with that? Have you really changed your reservoir every 72 hours. Every time I do that I have to pull out the insulin and then push it into a new reservoir?
I am interested in how much better my blood glucose control could be using a pump system by comparing data with people using a t:slim pump closed loop to me on manual shots (Tresiba/Lyumjev) and a G6 CGM? My Dexcom clarity reports over the past 90 days an average glucose level of 100 mg/dl, 34 mg/dl standard deviation, 5.7% GMI and 89% time in range. This could be very interesting and help me make a decision on getting a pump, thanks in advance!
WOW PLEASE share how you managed to keep this In a masters student and I’m struggling with juggling it all :( I try my best to cook good food but have horrible deviations
My mom is due to switch to tandem or upgrade her Medtronic and we cannot decide. Her eyes are really bad and has shakey hands and it’s a huge learning experience. Are there any regrets switching with people with these issues
Keep Medtronic. I prefer Tandem, but the Medtronic has many menus in small writing. Also she won't have to go through the learning process of a new User Interface of a different brand.
I've just switched to Tandem. It's insanely difficult (and messy) to change the cartridges. I'm struggling with the tiny fill space for needle, for example, and my eyesight isn't too bad. The Tandem is user-unfriendly in many practical ways, like getting caught up more easily if you're doing some gardening, for example. I only switched as the CGM control with Dexcom is supposed to be better (haven't started it yet), but otherwise I'd stay with Medtronic, particularly for anyone physically challenged in any way. It's difficult to believe Tandem have actually tested their product with any real users, as there are a good few very obvious problems that become evident very quickly, as the review outlines.
When using the multi wave feature when bolusing does this still work in the closed loop system? I’m coming from. Medtronic closed loop and it doesn’t let me multi wave. Only straight bolus then the ‘closed loop’ will adjust accordingly if I’m too active or not had enough.
I don't like this pump. I've had to change the infusion site multiple times in one day because the cannula bends inside the body and it won't deliver your insulin. My A1c has increased since having this pump. I have to calibrate this pump constantly. This thing does more harm than good at times.
I heard ALL of the safety features are because of law suits from parents of young children who may have died from the pump!!! YES all of the safety features are like a grandmother always yelling at you WHEN you already known what is going on!!!
I hate my tslim x2! The user interface is not good, putting insulin into the cartridge is ridiculously difficult, and i never show anywhere close to the 230u i put in each time. Yesterday it only registered 140u. Tandem has replaced the pump once but the problem never went away. Tandem was forced out of my medtronic by my endocrinologist, who wouldn't resubscribe me a medtronic pump. 2 yrs 7 months until I can get out of this...
The one thing that is a pet peeve is it will bee which usually means you are going to high or low but it just says a high or low was recorded two hours ago . Don’t see how that is helpful especially when obviously it was taken care of lol. Kind a waste
Great vid,y doctor wants me on a pump but he wants to shove the Medtronic down my throat for some reason, even offered me the smart pen but not the T-slim, he said the costumer service here in Puerto Rico was was bad from an incident he had 3 years ago when the pandemic started, but I do want this. Time to compose a serious email and let him know I want this one lol.
This sounds like a pointless nightmare. So instead of using a pen i'm just gonna have a pen inside me forever. Their integration wit G7 is an absolute joke. This company is absent minded with rolling out stuff and always having issues.
Hello Giuseppe. Hope you’re well? We’ve been considering a T Slim for our daughter because she has a G7 and we’d like to go closed loop. Is it not working very well? Not reliable?
In America we shower without pants on. I realize you couldn't post that! (Waist up video...?) But why pants in the shower? Honest question not and idiot just outside of Europe
That shower was an outside shower at a public pool at a hotel resort. I don’t think other hotel guests would appreciate me showering naked🤣🤣I don’t shower with pants on when I’m in my bathroom at home😀
I have been telling anyone I know with Diabetes to watch your channel. Also, I wanted to say anyone on a pump or has a CGM, might want to to have a backup bag of sensor, and barrette/test strip in order to take the transmitter off while in the hospital or having x-rays, cat scans done. I was recently in the hospital and had to remove my sensor and transmitter. I put together a hospital bag so in an emergency I can save my sensor by only taking the transmitter off. I also now have pump cartridges, syringes and insert sets incase my cartridge is low like it was when I was waiting for 7 hours in the Emergency Department.
I am sure these 'Pumps' will get more convenient and more trust-worthy over time. AI Control will help with that when newer models are released. I like the idea of a Pump with two distinct chambers. One with Insulin, one with a Glucose substance. Now that would be game changing to have dynamic-balancing on both ends of the spectrum.
Thank you for all your research and work in making these videos. I am new to diabetes and your sharing the information you have found and your own personal experiences have helped me, TREMENDOUSLY. THANK YOU
You shouldn't have to start from scratch if you forget to "start insulin delivery". You should be able to go back to load, select fill cannula and then after you've done that, you should be able to click the checkbox in the upper right corner to resume insulin delivery
I am confused about it taking 2 hours to fully charge. I believe mine only takes 1/2 hour if I let the charge go down to 20%, but since I usually charge daily while on my computer, it is charged quickly as it the charge rarely goes below 80%
Excellent Videos, as a Type 1 Diabetic and a previous user of Medtronic pumps for over 20 years, you have hit many of the bullet points that I am seeing with the Tandem pump. Advances in Diabetes management has gained so much since the clinatest tablets of 1954 when I was diagnosed but at least Tandem seems to strive to prove us a better tool with this new generation of pump.
That was a great video thank you very much. Since I think i will not mind almost all the negatives you spoke about, i think this will be my next pump combined with the dexcom 7 sensor. i hate my Dana i.
I appreciate you sir and your educational non favoritism. I got the g7 recently and finally been approved on my tandem slim x2. Your videos motived me to move away from the pen to this. (I was weirded out by things hanging off my body but when I went to the g6 it wasn't bad and I was happy I was finally controlling my sugars after 31 years!). Thank you again from a sugar-free trooper! ^.^
Whenever you say "click here" there's no video to click on ☹️ Otherwise great, fantastically informative, greatly illustrated videos! Thank you so much! 💗
This precies insulin dosage is so useless. There is this prototype loop pump where you just enter your weight, your age and only 3 bolus amounts: low, normal, or high. And the users had better glucose levels than with any other systems. Not 5.23U of insulin bolus, "normal" bolus. Not 8U bolus, high bolus.
You said in the video that in the site change process, if you forget a step, you have to start over with the Fill Cannula step and waste more Insulin. However, you don't need the fill cannula step every time you change sites. Such as if using the Steel infusion sets and changing the tubing at the same time. In that case, you would do the fill tubing step until Insulin drips out of the steel needle, but since the needle has nothing but Insulin in it, there is then no reason to even touch the Fill Cannula function in the pump. Though I use the Autsoft XC so have to fill the cannula for every site change so never checked if you can activate the site change reminder without using the fill cannula option or not.
And for those who are crying about possible ****Catastrophic FAILURES**** about these newer devices failing to deliver the goods? Please remember you always have a very old-fashioned Emergency-injection device right in the palm of your hand: Index finger.... Middle-finger.... and a thumb. 😉
I do get your problem with the hose connector. But that is a standard medical connection called luer-lock system. You can see it is the exact same locking mechanism the needle used to fill the reservoir attaches to the syringe with. An especially useful feature in using a standardized locking mechanism is that there is a huge amount of 3rd party luer-lock infusion systems you can choose the right for you from.
Thank you! I have had my t-slim for almost a year now and have been so frustrated with filling it. Your single statement about getting the needle syringe exactly in the middle explains why I often can't fill the dang thing. Alos, everything you hate about this pump is the same for me. I remember when I had the medtronic and saw ppl with the Tandem I thought how ugly the tubing was, and now that is me. Same with the clip...it's garbage...I don't know why they don't change these seemingly simple things and I'm guessing maybe Medtronic has a patent or something or is Tandem not responsive to their customers. Not sure what is the best way to give feedback as I did mention it to one of the tech ppl on the phone last year but maybe if enough of us commented it might change...regardless, as you have agreed, I love the functions of my pump and I love your videos. I'm going to continue watching it now.
I need around 10 minutes for my daily showers but it's still enough to always have a full battery. My pump is just one year old though, so I'm pumped to learn how it'll be in, say, two more years.
need to shut off ALL AUDIBLE alarms. ALL. It is going to cost me my job because coworkers and customers panic. It is going to cause a car accident obnoxiously frequent alarms driving. Tandem is building devices with no knowledge of the amount of time it take for oral sugar to rise blood glucose? absolutely no idea? Pump alarms loud over and over, 10 times, in the amount of time it takes blood glucose to rise? We need to get together with a class action law suit for negligence. I even got thrown out of church for "An electronic device not alarm not turned off. How many people have died taking their seatbelt off and drive into bridge abutments trying to shut the screaming alarm off? Is there a hack, or schematic of pump so I know where to drill a hole to hit the specker and destroy it? It's actually alarmed 6 times right now, because they are too ignorant to know how long it takes insulin to bring down a sugar. Thats negligence. Need a link to a schematic on where to drill a hole or how to crack case open to get to that speaker and rip out.
Insulin goes bad quickly because of the interaction with the plastics, insulin should NOT be stored in a refrigerator but at room temperature unless for longer than 30 days...🙄
I'm just about to start on this model after using Medtronic or Omnipod models since the late 1990s. I really appreciate your including both pros and cons. I've been especially worried about the small screen and other small parts since I have low vision and lots of problems with my hands. I'm interested in how you connected your clip to the pump - I'm assuming some sort of glue or adhesive?
I was thinking of changing from my Medtronic 770G but after watching your video no way. Filling cannula charging battery and safety features make it a pain to operate. The fact that it is smaller is no big deal considering what you have to give up to get this. I’m surprised you favour it. Thanks
I used a Medtronic Paradigm pump for 20 years just switched to a Medtronic 770G and hate it. I have no idea why that blasted away simple viewing and activating features. And all the loud button pushes - I can't even!! I'm checking out T-slim to see what the trade off might be for a pump I already hate
On MDI. Waiting for Iport this week for injections. Then the InPen so can see my numbers on app. I really don’t want a pump. Like to make my own decisions and don’t care for tubing. Wish me good luck
Hello. Been on MDI for three years. Love the InPen. Give all the data a pump does. Used the iport for awhile. Did not work for me. Had to put needle exactly in the right spot or would not inject. Also started getting scaring. Have a box of you would like. To me looked better on paper than in use. But the InPen genius. Good luck
About charging, the simple solution for me is to use a portable "juice pack" made for charging cell phones. It fits in my insulin pump waist band easily, and doesn't tether me to an outlet. These juice packs are around 10 bucks from amazon, and make charging a non issue. One 10k mah battery pack will literally charge my pump for 2 months before it needs recharging. As far as the safety features for bolusing, I am part of the early access for mobile bolus, and since I have had that access, I *never* use my pump screen. It is so much better than pulling the pump out. To make a bolus, I simply hit a tab within the app, make a few button presses, and it uses apple's faceid technology to confirm. It's literally less than 10 seconds, and I don't even have to look at my pump. Hopefully this feature will be approved elsewhere before long. Every insulin pump should be this way.
How does the 10 unit minimum fill lead to insulin waste? You can't fill up an infusion set with anything less than 10 units afaik. Is there an infusion set that you can fill with less than 10 units? Or is this only a problem if the pump's battery dies completely?
@@craigbutler8092 I have a theory and an experiment I haven't tried yet. What I want to do is to make sure I haven't gotten to the warning state telling you that you need to change your set. Prior to doing that, I want to refill the cartridge, go to the "load" and do cannula fill only. If my experiment works, it should run volume reset to show the correct number of units and basically have a "limitless" cartridge. I tried this during the warning period and it didn't work, but I still plan on trying this out
I have never understood why insulin in a vial still needs to be refrigerated after you use it, but an insulin pen with the same type of insulin can be kept at room temperature after first use. Ummm....WHY?
Once you take insulin out of the fridge, it can be used at room temperature for 28 days. You can’t keep insulin out at room temperature and then put it back in the fridge and take it out again. So in summary , new insulin that you’re not using is stored in the fridge, once you take it out of the fridge at room temperature , it’s good for 28 days at room temperature.😊
Agree on 1 thing The belt clip is really not good All the rest u spoke about is just passive I'm on this pomp for the lot 3 years. And love it. Coupled with the dexcom it works like an artificial pancreas
Thanks for this detailed video! I was diagnosed with Type 1 three years ago. I've been on the omnipod the whole time. Im super unhappy with omnipod. In the last 3 months, I've been to the ER twice due to the pump malfunctioning each time in the early morning hours or late at night. My new endo recommended the medtronic. After doing some research, i have decided medtronic looks a bit too complicated for me. I have a friend using Tslim. She directed me to your content. Any tips for someone in my situation regarding going from a tubeless pump to one with tubes? Thank you
No doubt the CGM is the best.. not sure about this pump, the tubing looks uncomfortable and unhideable. The recharging of the battery looks like a pain, and how long will the battery life be.... I guess its another trip with medtronic.
I used the medtronic Mio but not on Tandem yet. they look like they are the exact same infusion site where it connects to your skin, just connect to the pump differently. I have used adhesive wipes like Skin Tac and that worked fine if you are concerned it won't stick well
Went back to MDI bc I needed a break from technology hanging on me. Plus I got BAD scar tissue. Ended up keto acidosis in icu bc of crimped cannula!!! You don’t know until it’s too late sometimes!
How can you tell if you have scar tissue? I’ve noticed my daughter doesn’t absorb the insulin as well in her abdomen anymore. Are you able to feel it? Trying to find new spots for her but she’s really thin so they’re hard to find.
I used to get crimped cannulas all of the time when I first started pumping. After three months, I changed to the Tru-Steel infusion set and have never had to worry about crimped cannulas again. If you have a CGM, you should have seen your blood sugars going up no matter how much/many corrections you gave yourself. That could have saved yourself a trip to the ICU.
Oh my God. This happened to me 3 years ago. I think that Tandem is aware of these issues. They tried sending me a bunch of different tubing, but i ended up getting the Omnipod. I've been happy with it since, it's been 2 years of good A1Cs.
I stopped using this pump as it gave me an unauthorized large dose of insulin while in its auto mode, I have been waiting an answer as to what happen from tandem for over 8 months safe to say its not a priority back to mdi
A very interesting video Tom and thankyou again. I am a Freestyle Libre 2 user now but have been told I would benefit from a pump. I Like the feature of the Control IQ but worry that I might set it to inject too much and drop too much. I am not sure if you have done a video for this but think it might be informative to all including myself. Not as a review of certain products or features of a specific type of pump but what did you learn while using a pump for the first time. Pros and advantages that you have experienced with better control and the cons of over dosage, wearing a pump and if any lifestyle restrictions by wearing this equipment. Looking forward to your next video. Thanks.
"the Control IQ but worry that I might set it to inject too much and drop too much." You do not have any control over Control IQ. It is programmed into the pump. It uses the CGMS blood sugar readings to adjust basal insulin to keep your blood sugar in a certain range. And gives extra bolus insulin when blood sugar is high. Control IQ runs by itself. Its programmed to keep your blood sugar at a certain level. You are talking about giving yourself too big of a bolus for food. You can do that with any pump. Or with injections too. That is all based on how you determine how much insulin to give yourself for food or corrections. The pump gives whatever you tell it to give. If you tell the pump to give 10 units but only need 5 units, then your blood sugar will probably go low. Control IQ will likely suspend basal doses when blood sugar drops, but it cannot correct for your error of giving too much insulin. It cannot pull insulin out of your body. Control IQ cannot fix your mistakes.
I had a Tandem trainer come to my house when I first started on this pump. Your Tandem trainer will come to your house and set reasonable basal and bolus rates into your pump. Of course as you wear the pump and track your blood sugar numbers with your cgm, you will be able to adjust how much insulin the pump gives you. You can call your trainer for help at the beginning of using the pump or you can call your endocrinologist to help with settings (if you have an endocrinologist).
At first thought my 670-G was normal to be awakened several times a night for CHECK BLOOD SUGARS...PLEASE CELEBRATE...BLOOD SUGARS LOW WHEN IT'S NOT...ALERT ALERT ALERT drives me insane. I wear hearing aids so need to wear it on a necklace but the alarms still wake up my wife. I know some people would complain if they were hung with a new rope so after reading other users complaints think they all can't be wrong so I'm opting for a T;Slim x2
I just switched the first of my three kids from Loop (Omnipod) to the t:slim x2 and I am loving it. Her time in range has gone from 69% to 85% and we have many days 95% in range. The battery life is amazing and it’s quick and easy to Bolus from either the phone app or the pump. After 3 years on loop, dependent on the phone, I’m glad to be able to bolus my 8 year old if she forgets her phone. (That won’t be such a problem for adults who use their pocket computer regularly, and they may want to look at the Tandem Mobi). I am trying to switch my two other kids to the x2 because the results we are having are so good. I agree the site change is more tedious but I know I’ll get the hang of it very quickly after several changes.
Thank you so much for this video! I'm looking at maybe getting this pump, but I do have one comment/question about the insulin wastage...I'm not quite sure what you mean about insulin being left in the bladder because it seems to me that, aside from the 10 units you lose in repriming when you refill, you could just keep refilling the bladder so that none will go unused. Can you provide some clarification on that please? Thank you!
Medtronic is the absolute *WORST* Customer service is non existent. And their pumps look like a 1980's pager with no apps that can show your blood glucose on your phone. It's 2023. C'mon, Medtronic. Get your crap together.
Wow, what a video. I am due for a new pump and I have been on Medtronic for 20 years. My Paradigm 530g work horse finally died, so I’m thinking about getting the T-Slim so it can work in conjunction with my Dex. Thank you so much for making such a thorough video, especially when it comes to the ‘cons’ of the pump. I can see that it will be an adjustment for me, especially with the amount of button pushes I need to get to a bolus, compared to the simplicity of the Medtronic Paradigm pumps. Still, I think i’ going to go for it. Thanks!
My fiver year old son he has adhd and has this and it’s been better then the shots Lantus all day, Humalog fast acting instead of sharp spikes and sharp drops this insulin pump has controlled it better and doesn’t give the full amount at first so when we pre treat his food and doesn’t eat everything we can recalculate it and if your sugar needs a correction depending the number your calculation on the sugar level the machine will let you know what correction he needs and it will give him the shot for the next 4 hours at like 1 unit an hour also has an activity mode that so he can play outside and this machine learns your habits and knows when your asleep. I highly recommend , we took classes to learn this machine and I can tell you it’s well worth it. It
Thank you so much for the details. I really wanted to consider getting this pump, but filling that sucker is not going to work for me due to damaged vision. Sigh.
I did not get your comment about filling the infusion set. Of course it needs to be filled on all pumps or it will pump air into you body before actual insulin. Also once you connect the reservoir with the infusion set you should always discard them together. You should not disconnect the reservoir from the infusion set once connected because after that you might once again push air into your body instead of insulin and the dosage will not be correct.
I mean, if it takes an hour for the pump to fully charge it's fine for me because I usually sleep at about 8pm and charge my phone an hour before going to sleep and it gets fully charged.
Medtronic pumper x20 yrs. & I am done with it. Looking forward to getting a Tandem t:slim x2 with control iq. I downloaded the Tandem app with pump simulator and like it a lot. Of course changing the reservoir is so easy with Medtronic, but the thought of going back to the Medtronic sensor with charging the transmitter periodically, the insertion procedure, triple taping, fingersticks, and changing it weekly-I just can’t. It’s a trade off with Tandem’s bladder reservoir with a tail. And you get a bigger screen with Tandem. Please keep the videos coming! Very informative and I learn from the comments too. Thank you.
I realize these detailed review videos are very long. The reason is that I try to include as much information as possible to allow all of you fellow diabetics to have all the information you need to be able to decide if t:slim X2 is a good fit for you. It takes a lot of time and energy to analyse every bit of the system but I love doing that. And I always want to improve so I would love to hear your feedback to see whether there is anything I can do better in my future review videos. Please let me know!
Love you all! I appreciate your support!
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Tom - I've been watching your videos for about two weeks now and I am really enjoying the content. I've been using pump therapy for about 15 years now and one of the things I struggle with is managing blood sugar levels during exercise. I like the exercise feature with the X2, but i still find myself dropping low even with exercise mode enabled and can barely squeeze out an hour of vigorous workout. I would be interested in seeing a video on how you manage your sugars during exercise. Do you get your sugar high so you can burn them off (this is what I have been doing). Very interested on your take with this topic. Thanks!
@@scottbarnard7459 Hi Scott. Thank you very much for your kind words.
That’s a great question you are asking. I’ve been fine tuning that for years and I thing Ive found a pretty effective way to do that.
Check out this video. Might help (but probably not addressing your question fully.
ua-cam.com/video/8kuKKVXOAJQ/v-deo.html
Unfortunately, this so such a specific question that making a video only about this complex topic would not be interesting for the majority of my subscribers.
But I can also offer you a paid private session or membership in my Patreon community where I respond to my supporters’ questions on 1 on 1 basis or by creating dedicated videos.
Hope this helps!
Freaks me out that a pump will control my insulin intake to some degree. But it is time for me to get a pump as the management of T1 is starting to affect my mental health. Getting significant burnout. Kudos to all T1 folks out there. You rock!
I am t1 as well. Mine has never been very manageable. I know exactly how you feel.
You sound just like me! Was on MDI for past three years. Got tired of sticking myself. Just started tandem with control IQ. Pump will give me a correction bolus if needed. It’s more conservative than I would have given and probably gone low. So trying to trust pump 😂
I’m 26 I’ve had t1 since I was 6 and over the last few years even with daily exercise and proper nutrition and injections my a1c has been horrible … I feel your burnout , stay strong and stay positive my friend.
these are really great videos. A couple of minor points:
(longtime T-Slim user, previous Medtronic user of 20+ years)
1 -- I like to cut a small hole in the pockets of my pants, I can thread the tubing thru the pocket, so my pump sits comfortably in my pocket, inlacing the connector, which is hidden
2-- very recently, I had a catastrophic pump failure. I had called support several times complaining of new noises while pumping and odd battery behavior when recharging. I was told my pump was normal. Last week, the pump suddenly provided an error that could not be recovered (malfunction code 0-0x26D0) and suddenly I was without a pump. I was able to locate my old medtronic pump, and Tandem support got me a replacement in 2 days. TWO VERY LONG DAYS. I wasn't thrilled with support. Medtronic used to be fantastic, but in later years, they lost their gold stars in my book. My take-away from this, I felt that if I had the ability to remove and install a new battery, or provide some kind of "reboot" it might have got me pumping again for a short time. I did power off my pump, and then it would not power on at all.
Very good to know as someone probably going to switch away from medtronic! Medtronic got me a replacement pump in like an hour after i called them, because they had a distributor person in my city. Scary that Tandem took that long
@colin5227 Medronincs 670g almost killed me as it malfunctioned after 3 months with 0 damage. They blamed it on the clear Retainer Ring but mine had the new black composite ring. Medtronic has a plethora of C.A Lawsuits against them for failures with almost all of their D.M.E. their cgm compatible device is trash, it has a piece of what looks like metal material on a spacecraft inside of you while as Dexcom working with Tandem tests the fluid around your skin inside of your body with a tiny needle giving you more accurate and worthwhile care. At the end of the day Dexcom almost killed me, has a faulty computer in their pumps and u have a video 6 hours long showing my pump with 0 damage 3 months after being manufactured giving me 3x the amount of insulin per hour and per dosage as normal.i sued them in small claims court and they settled immediately for funds to buy a new pump as I was still in warranty at the time
Agree on medtronic declining customer service
I’ve been on Medtronic for years but I’m really considering changing. Their customer support is awful, their Gaurdian sensor is highly inferior to Dexcom (at least the 3 was, I couldn’t trust that thing during mealtime).
I just got my pump a week ago and then came across your video. Excellent presentation and I agree on all points! (Former Medtroic client fir 20 years) I am from the USA. The insulin waste is my greatest dis-satisfaction!!! I have a 20 percent co-pay and insulin is extremely expensive. Great video’s.
Same here! I miss my Medtronic pump because of this issue. The 10.2 unit safety feature is unnecessary. It gets me so upset when I mess up and have to sit there as it delivers 10.2 more units of insulin! A total waste!
A couple of comments: (1) Minimum amount of insulin that can be infused is .05 units and not .01 units. (2) Once a bolus has been started it can be stopped before it is fully infused. Once started, there is a red X displayed and when pressed it will stop the infusion. (3) You mentioned, during the infusion set change, perhaps neglecting to fill the cannula, then having to start all over again and waste insulin. You can select the "Fill cannula" directly and fill the cannula only. Very useful if an infusion set gets pulled out or you feel you need to change the cannula.
I personally don't set up infusion set reminders and will change the set when there is less than 5 units indicated in the cartridge. Generally 3-4 days depending. Sometimes it may mean wasting a bit of insulin if that low amount will not get me through the night or interfere with my day. Informative video.
Minimum amount of delivery is indeed 0.05 units, but what he said in the video is that the delivery precision was to 0.01 units. So the minimum you can deliver is 0.05 units, but if you chose 0.06 units, you would indeed get 0.01 units more than 0.05 units
@@BlacklistBill I wasn't paying close enough attention and the .01 precision is correct as you state.
The canula thing isn't much of a problem the main problem is that it forces you to fill tubing after cartridge change. This is ok when you actually have a cartridge to fill, but given the fact that the pump stores your session in some volatile memory, it erases it when it dies, thus you have to refill tubing after your pump dies and you charge it, even if you just filled the tubing. The same happens when you put in less than 50 units. Sure 50 unit minimum is fine if its needed for pump, but if it doesn't remember that it was *jus* filled (and tubing), you waste 10 extra units after refilling to meet 50 unit requirement.
@@JacobRy I have no experience in losing parameters due to a fully discharged battery as you indicate. The pump does alert you when the battery is getting low. Just have to be mindful of that.
Just got mine today :D I had a pen for over 22 years so but hell yeah is working so good :O only a few hours in :O :O
all of my pants have little holes on the inside of the pockets so I do NOT rip by tube off of my body- if you are active!!!
Great idea regarding pants pockets. I altered dress pockets to slip in the pump from the inside but never thought of altering pant’s pockets. Thanks!
Good video. Thanks Tom! I have seen that there is already an integration between the dexcom g7 and the t-slim x2 pump in some countries. For example in the USA since the end of 2023 or in Germany as of recently.
If there are more new features through that you could make your next video about that.
Best regards from Germany
Thanks for your honesty !
When I got my tandem t slim x 2 end of last April they gave me two power cords. I keep one with me while I travel outside my home in my carry bag and the other stays in my apartment for inside use. If one ever stops working I will purchase another that way I have a spare always. When I went away for 17 days I took both chargers with me. That way I had a back up in case either one stopped working.
The number of steps to do anything seems truly crazy compared to Medtronic, I’m getting major buyers remorse as Im sensitive to UX things lkke this
Good to know, making me almost regret our choice for my toddler if it's long and slow to fill. With a toddler I have needed to learn to but super quick with his dexcom or any injection since he just doesn't understand. I am hoping it works out as here only dexcom g6 works with pumps and only Tandum right now.
I'm in the US and the list of phones that are compatible with the on-phone bolus function is criminally short.
A Medtronic pump battery lasts a month. Then you just swap out a single AA battery.
Our lives depend on the life span of a AA battery 🪫 😭😡😤 im going back to my depression sleep 🛌
Excellent tutorial
Im about to start on insulin pump for the first time in my life and i am not excited to have all this stuff on me 24/7 i hate diabetes
Its can be struggle for sure but you control it or it controls you. Just like waves in the surf, you will learn to go along with them and make it part of your life. Once you get control, it will be like riding a bike. If you are Type 1 its just a fact of life now and you can have a great, fun, enjoyable life with diabetes. I know I have so far, T1d for 30+ years so far.
@@rhinohelix197 Your comment was really comforting and true.
When you go through the airport, don't go through the x-ray machine, instead ask for a hand search or Pat down. I do it all the time and never had a problem.
I'm curious how you found out that the cartridge had 15-20% remaining insulin. Did you crack open a cartridge? Or is it based on filling with approximately 280 units and seeing the "+240" shown on the display after starting a new cartridge. Sorry for the deluge of comments, there was a lot of interesting content in the video
You can probably use a scale to measure the different masses.
you can take the insuln back out of the cartridge using the syringe
Delayed bolus feature is excellent when you are out drinking with friends. 😅
What rhis pump like with no cgm. In my country theyre very expencive and unless we pay, we get the cgm but doesnt sync like the dexcom one or libre 2. So how is this pump when not using the cgms
Question. In the instruction manual of the t-slim x2 pump it says one should change the black reservoir every 48-72 hours.
What is your experience with that? Have you really changed your reservoir every 72 hours. Every time I do that I have to pull out the insulin and then push it into a new reservoir?
In the T slim x2 can we configure the pump to active insulin to 3 yours?
I am interested in how much better my blood glucose control could be using a pump system by comparing data with people using a t:slim pump closed loop to me on manual shots (Tresiba/Lyumjev) and a G6 CGM? My Dexcom clarity reports over the past 90 days an average glucose level of 100 mg/dl, 34 mg/dl standard deviation, 5.7% GMI and 89% time in range. This could be very interesting and help me make a decision on getting a pump, thanks in advance!
I already made this video. Check out my control IQ review please.
WOW PLEASE share how you managed to keep this
In a masters student and I’m struggling with juggling it all :(
I try my best to cook good food but have horrible deviations
Hi Tom, Do I need to enter carb amount every time I eat even though I have set up unit:carb ratio in my profile?
My mom is due to switch to tandem or upgrade her Medtronic and we cannot decide. Her eyes are really bad and has shakey hands and it’s a huge learning experience. Are there any regrets switching with people with these issues
Keep Medtronic. I prefer Tandem, but the Medtronic has many menus in small writing. Also she won't have to go through the learning process of a new User Interface of a different brand.
I've just switched to Tandem. It's insanely difficult (and messy) to change the cartridges. I'm struggling with the tiny fill space for needle, for example, and my eyesight isn't too bad. The Tandem is user-unfriendly in many practical ways, like getting caught up more easily if you're doing some gardening, for example. I only switched as the CGM control with Dexcom is supposed to be better (haven't started it yet), but otherwise I'd stay with Medtronic, particularly for anyone physically challenged in any way. It's difficult to believe Tandem have actually tested their product with any real users, as there are a good few very obvious problems that become evident very quickly, as the review outlines.
This has horrible Bluetooth. It’s always disconnecting from my Dexcom
When using the multi wave feature when bolusing does this still work in the closed loop system? I’m coming from. Medtronic closed loop and it doesn’t let me multi wave. Only straight bolus then the ‘closed loop’ will adjust accordingly if I’m too active or not had enough.
Is it available in INDIA
What is Your Favorit Pump and why?
I don't like this pump. I've had to change the infusion site multiple times in one day because the cannula bends inside the body and it won't deliver your insulin. My A1c has increased since having this pump. I have to calibrate this pump constantly. This thing does more harm than good at times.
I don't see where you link the belt clip. Could you please send?
cost?
I heard ALL of the safety features are because of law suits from parents of young children who may have died from the pump!!! YES all of the safety features are like a grandmother always yelling at you WHEN you already known what is going on!!!
I hate my tslim x2! The user interface is not good, putting insulin into the cartridge is ridiculously difficult, and i never show anywhere close to the 230u i put in each time. Yesterday it only registered 140u. Tandem has replaced the pump once but the problem never went away. Tandem was forced out of my medtronic by my endocrinologist, who wouldn't resubscribe me a medtronic pump. 2 yrs 7 months until I can get out of this...
Tslim looks so difficult and time consuming. I'm looking into Medtronic 770g.
The one thing that is a pet peeve is it will bee which usually means you are going to high or low but it just says a high or low was recorded two hours ago . Don’t see how that is helpful especially when obviously it was taken care of lol. Kind a waste
Great vid,y doctor wants me on a pump but he wants to shove the Medtronic down my throat for some reason, even offered me the smart pen but not the T-slim, he said the costumer service here in Puerto Rico was was bad from an incident he had 3 years ago when the pandemic started, but I do want this. Time to compose a serious email and let him know I want this one lol.
ew.. tubes?
dude the tandem t:slimm only lasts 3 days so your just lying smh
This sounds like a pointless nightmare. So instead of using a pen i'm just gonna have a pen inside me forever. Their integration wit G7 is an absolute joke. This company is absent minded with rolling out stuff and always having issues.
Hello Giuseppe. Hope you’re well? We’ve been considering a T Slim for our daughter because she has a G7 and we’d like to go closed loop. Is it not working very well? Not reliable?
In America we shower without pants on. I realize you couldn't post that! (Waist up video...?) But why pants in the shower? Honest question not and idiot just outside of Europe
That shower was an outside shower at a public pool at a hotel resort. I don’t think other hotel guests would appreciate me showering naked🤣🤣I don’t shower with pants on when I’m in my bathroom at home😀
I have been telling anyone I know with Diabetes to watch your channel. Also, I wanted to say anyone on a pump or has a CGM, might want to to have a backup bag of sensor, and barrette/test strip in order to take the transmitter off while in the hospital or having x-rays, cat scans done. I was recently in the hospital and had to remove my sensor and transmitter. I put together a hospital bag so in an emergency I can save my sensor by only taking the transmitter off. I also now have pump cartridges, syringes and insert sets incase my cartridge is low like it was when I was waiting for 7 hours in the Emergency Department.
I am sure these 'Pumps' will get more convenient and more trust-worthy over time. AI Control will help with that when newer models are released. I like the idea of a Pump with two distinct chambers. One with Insulin, one with a Glucose substance. Now that would be game changing to have dynamic-balancing on both ends of the spectrum.
Tandem seems like an awesome pump! But insulin pumps are really expensive, and I don't like tubed pumps. So I'm on Omni pod.
Do you use insurance for omni pod?? How much do you pay if I can ask?
@@4jdenten I forgot 😔
@@4jdenten umm 204$ for one month supply
Thank you for all your research and work in making these videos. I am new to diabetes and your sharing the information you have found and your own personal experiences have helped me, TREMENDOUSLY. THANK YOU
Just started this pump and find your videos much more useful than the training videos from the company. Thanks!
You shouldn't have to start from scratch if you forget to "start insulin delivery". You should be able to go back to load, select fill cannula and then after you've done that, you should be able to click the checkbox in the upper right corner to resume insulin delivery
Your videos have become my go to almost every day. 30 years as a not so good diabetic and im trying really hard to get things in order. Thank you Tom.
Good for you :) Change is hard when it comes to diabetes. It is worth it - the peace of mind and lessened stress and anxiety is worth it !
Well at 25 years of a so-so t1 I can promise it gets easier
I am confused about it taking 2 hours to fully charge. I believe mine only takes 1/2 hour if I let the charge go down to 20%, but since I usually charge daily while on my computer, it is charged quickly as it the charge rarely goes below 80%
Phenomenal content. Super impressed. 10 year medtronic survivor, 5 year animus, just switching to to tandem now.
Excellent Videos, as a Type 1 Diabetic and a previous user of Medtronic pumps for over 20 years, you have hit many of the bullet points that I am seeing with the Tandem pump. Advances in Diabetes management has gained so much since the clinatest tablets of 1954 when I was diagnosed but at least Tandem seems to strive to prove us a better tool with this new generation of pump.
That was a great video thank you very much.
Since I think i will not mind almost all the negatives you spoke about,
i think this will be my next pump combined with the dexcom 7 sensor.
i hate my Dana i.
Hey! Just wondering during the dexcom g6 2 hour warmup, will your tandem tslim pump still deliver insulin? (I’m getting the tandem tslim soon (:)
The Tandem 24/7 customer service number is absolutely worthless. Been that way for years.
Good to know.
I appreciate you sir and your educational non favoritism. I got the g7 recently and finally been approved on my tandem slim x2. Your videos motived me to move away from the pen to this. (I was weirded out by things hanging off my body but when I went to the g6 it wasn't bad and I was happy I was finally controlling my sugars after 31 years!). Thank you again from a sugar-free trooper! ^.^
Whenever you say "click here" there's no video to click on ☹️ Otherwise great, fantastically informative, greatly illustrated videos! Thank you so much! 💗
This precies insulin dosage is so useless. There is this prototype loop pump where you just enter your weight, your age and only 3 bolus amounts: low, normal, or high. And the users had better glucose levels than with any other systems. Not 5.23U of insulin bolus, "normal" bolus. Not 8U bolus, high bolus.
You said in the video that in the site change process, if you forget a step, you have to start over with the Fill Cannula step and waste more Insulin. However, you don't need the fill cannula step every time you change sites. Such as if using the Steel infusion sets and changing the tubing at the same time. In that case, you would do the fill tubing step until Insulin drips out of the steel needle, but since the needle has nothing but Insulin in it, there is then no reason to even touch the Fill Cannula function in the pump.
Though I use the Autsoft XC so have to fill the cannula for every site change so never checked if you can activate the site change reminder without using the fill cannula option or not.
And for those who are crying about possible ****Catastrophic FAILURES**** about these newer devices failing to deliver the goods? Please remember you always have a very old-fashioned Emergency-injection device right in the palm of your hand: Index finger.... Middle-finger.... and a thumb. 😉
I do get your problem with the hose connector. But that is a standard medical connection called luer-lock system. You can see it is the exact same locking mechanism the needle used to fill the reservoir attaches to the syringe with. An especially useful feature in using a standardized locking mechanism is that there is a huge amount of 3rd party luer-lock infusion systems you can choose the right for you from.
Thank you! I have had my t-slim for almost a year now and have been so frustrated with filling it. Your single statement about getting the needle syringe exactly in the middle explains why I often can't fill the dang thing. Alos, everything you hate about this pump is the same for me. I remember when I had the medtronic and saw ppl with the Tandem I thought how ugly the tubing was, and now that is me. Same with the clip...it's garbage...I don't know why they don't change these seemingly simple things and I'm guessing maybe Medtronic has a patent or something or is Tandem not responsive to their customers. Not sure what is the best way to give feedback as I did mention it to one of the tech ppl on the phone last year but maybe if enough of us commented it might change...regardless, as you have agreed, I love the functions of my pump and I love your videos. I'm going to continue watching it now.
I need around 10 minutes for my daily showers but it's still enough to always have a full battery. My pump is just one year old though, so I'm pumped to learn how it'll be in, say, two more years.
I am so glad I did not go with this pump because I was not crazy about the tube, I am on Ominpod 5, Love it.
need to shut off ALL AUDIBLE alarms. ALL. It is going to cost me my job because coworkers and customers panic. It is going to cause a car accident obnoxiously frequent alarms driving. Tandem is building devices with no knowledge of the amount of time it take for oral sugar to rise blood glucose? absolutely no idea? Pump alarms loud over and over, 10 times, in the amount of time it takes blood glucose to rise? We need to get together with a class action law suit for negligence. I even got thrown out of church for "An electronic device not alarm not turned off. How many people have died taking their seatbelt off and drive into bridge abutments trying to shut the screaming alarm off?
Is there a hack, or schematic of pump so I know where to drill a hole to hit the specker and destroy it? It's actually alarmed 6 times right now, because they are too ignorant to know how long it takes insulin to bring down a sugar. Thats negligence.
Need a link to a schematic on where to drill a hole or how to crack case open to get to that speaker and rip out.
So carb counting...... ilet bionic pancreas don't have carb counting
Insulin goes bad quickly because of the interaction with the plastics, insulin should NOT be stored in a refrigerator but at room temperature unless for longer than 30 days...🙄
For each personal basal profile (6) you can have 16 different time slots, not 26 😊
I'm watching this as my tandem pump decided to kill me and stoped treating my high sugar 👍🏻
I'm just about to start on this model after using Medtronic or Omnipod models since the late 1990s. I really appreciate your including both pros and cons. I've been especially worried about the small screen and other small parts since I have low vision and lots of problems with my hands. I'm interested in how you connected your clip to the pump - I'm assuming some sort of glue or adhesive?
Basal Insulin means Base(d) Insulin in english.
I was thinking of changing from my Medtronic 770G but after watching your video no way. Filling cannula charging battery and safety features make it a pain to operate. The fact that it is smaller is no big deal considering what you have to give up to get this. I’m surprised you favour it. Thanks
Medtronuc is the most annoying device ever made imo..
Im starting to think the same - this seems even more fiddly than the Medtronic and thats saying something
I used a Medtronic Paradigm pump for 20 years just switched to a Medtronic 770G and hate it. I have no idea why that blasted away simple viewing and activating features. And all the loud button pushes - I can't even!! I'm checking out T-slim to see what the trade off might be for a pump I already hate
You also have a rapid bolus. No need to get in the option but just press the T botton
How will the insulin stay cool in it
On MDI. Waiting for Iport this week for injections. Then the InPen so can see my numbers on app. I really don’t want a pump. Like to make my own decisions and don’t care for tubing. Wish me good luck
Hello. Been on MDI for three years. Love the InPen. Give all the data a pump does. Used the iport for awhile. Did not work for me. Had to put needle exactly in the right spot or would not inject. Also started getting scaring. Have a box of you would like. To me looked better on paper than in use. But the InPen genius. Good luck
About charging, the simple solution for me is to use a portable "juice pack" made for charging cell phones. It fits in my insulin pump waist band easily, and doesn't tether me to an outlet. These juice packs are around 10 bucks from amazon, and make charging a non issue. One 10k mah battery pack will literally charge my pump for 2 months before it needs recharging. As far as the safety features for bolusing, I am part of the early access for mobile bolus, and since I have had that access, I *never* use my pump screen. It is so much better than pulling the pump out. To make a bolus, I simply hit a tab within the app, make a few button presses, and it uses apple's faceid technology to confirm. It's literally less than 10 seconds, and I don't even have to look at my pump. Hopefully this feature will be approved elsewhere before long. Every insulin pump should be this way.
Seems a wise solution
How does the 10 unit minimum fill lead to insulin waste? You can't fill up an infusion set with anything less than 10 units afaik. Is there an infusion set that you can fill with less than 10 units? Or is this only a problem if the pump's battery dies completely?
@@craigbutler8092 I have a theory and an experiment I haven't tried yet. What I want to do is to make sure I haven't gotten to the warning state telling you that you need to change your set. Prior to doing that, I want to refill the cartridge, go to the "load" and do cannula fill only. If my experiment works, it should run volume reset to show the correct number of units and basically have a "limitless" cartridge. I tried this during the warning period and it didn't work, but I still plan on trying this out
I have never understood why insulin in a vial still needs to be refrigerated after you use it, but an insulin pen with the same type of insulin can be kept at room temperature after first use. Ummm....WHY?
Once you take insulin out of the fridge, it can be used at room temperature for 28 days. You can’t keep insulin out at room temperature and then put it back in the fridge and take it out again. So in summary , new insulin that you’re not using is stored in the fridge, once you take it out of the fridge at room temperature , it’s good for 28 days at room temperature.😊
Agree on 1 thing
The belt clip is really not good
All the rest u spoke about is just passive
I'm on this pomp for the lot 3 years.
And love it. Coupled with the dexcom it works like an artificial pancreas
Thanks for this detailed video! I was diagnosed with Type 1 three years ago. I've been on the omnipod the whole time. Im super unhappy with omnipod. In the last 3 months, I've been to the ER twice due to the pump malfunctioning each time in the early morning hours or late at night. My new endo recommended the medtronic. After doing some research, i have decided medtronic looks a bit too complicated for me. I have a friend using Tslim. She directed me to your content. Any tips for someone in my situation regarding going from a tubeless pump to one with tubes? Thank you
I prefer Medtronic I’m only switching to Dexcom because of insurance. You’ll never loose insulin with Medtronic
Ehh Medtronic is better
No doubt the CGM is the best.. not sure about this pump, the tubing looks uncomfortable and unhideable. The recharging of the battery looks like a pain, and how long will the battery life be.... I guess its another trip with medtronic.
wich infusion sets sticks better to the skin the ones from medtronic or the ones from tandem?
I used the medtronic Mio but not on Tandem yet. they look like they are the exact same infusion site where it connects to your skin, just connect to the pump differently. I have used adhesive wipes like Skin Tac and that worked fine if you are concerned it won't stick well
All it does is beep😢
I hate that it has a wire
Went back to MDI bc I needed a break from technology hanging on me. Plus I got BAD scar tissue. Ended up keto acidosis in icu bc of crimped cannula!!! You don’t know until it’s too late sometimes!
How can you tell if you have scar tissue? I’ve noticed my daughter doesn’t absorb the insulin as well in her abdomen anymore. Are you able to feel it? Trying to find new spots for her but she’s really thin so they’re hard to find.
I used to get crimped cannulas all of the time when I first started pumping. After three months, I changed to the Tru-Steel infusion set and have never had to worry about crimped cannulas again. If you have a CGM, you should have seen your blood sugars going up no matter how much/many corrections you gave yourself. That could have saved yourself a trip to the ICU.
@@anitastokar98 exactly
Oh my God. This happened to me 3 years ago. I think that Tandem is aware of these issues. They tried sending me a bunch of different tubing, but i ended up getting the Omnipod. I've been happy with it since, it's been 2 years of good A1Cs.
Been on a pump for 7 years and would never go back. Never had any real issues and those that I have I've been able to sort myself.
American here... My insulin is 100% covered.
Top notch insurance or goverment aid that not all of us can get ...good for you 🤙🤙
I stopped using this pump as it gave me an unauthorized large dose of insulin while in its auto mode, I have been waiting an answer as to what happen from tandem for over 8 months safe to say its not a priority back to mdi
Literally what auto mode is for.
Except it shouldn’t be enough that it puts you in a coma
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A very interesting video Tom and thankyou again. I am a Freestyle Libre 2 user now but have been told I would benefit from a pump. I Like the feature of the Control IQ but worry that I might set it to inject too much and drop too much. I am not sure if you have done a video for this but think it might be informative to all including myself. Not as a review of certain products or features of a specific type of pump but what did you learn while using a pump for the first time. Pros and advantages that you have experienced with better control and the cons of over dosage, wearing a pump and if any lifestyle restrictions by wearing this equipment. Looking forward to your next video. Thanks.
"the Control IQ but worry that I might set it to inject too much and drop too much."
You do not have any control over Control IQ. It is programmed into the pump. It uses the CGMS blood sugar readings to adjust basal insulin to keep your blood sugar in a certain range. And gives extra bolus insulin when blood sugar is high. Control IQ runs by itself. Its programmed to keep your blood sugar at a certain level.
You are talking about giving yourself too big of a bolus for food. You can do that with any pump. Or with injections too. That is all based on how you determine how much insulin to give yourself for food or corrections. The pump gives whatever you tell it to give. If you tell the pump to give 10 units but only need 5 units, then your blood sugar will probably go low. Control IQ will likely suspend basal doses when blood sugar drops, but it cannot correct for your error of giving too much insulin. It cannot pull insulin out of your body. Control IQ cannot fix your mistakes.
I had a Tandem trainer come to my house when I first started on this pump. Your Tandem trainer will come to your house and set reasonable basal and bolus rates into your pump. Of course as you wear the pump and track your blood sugar numbers with your cgm, you will be able to adjust how much insulin the pump gives you. You can call your trainer for help at the beginning of using the pump or you can call your endocrinologist to help with settings (if you have an endocrinologist).
At first thought my 670-G was normal to be awakened several times a night for CHECK BLOOD SUGARS...PLEASE CELEBRATE...BLOOD SUGARS LOW WHEN IT'S NOT...ALERT ALERT ALERT drives me insane. I wear hearing aids so need to wear it on a necklace but the alarms still wake up my wife. I know some people would complain if they were hung with a new rope so after reading other users complaints think they all can't be wrong so I'm opting for a T;Slim x2
I just switched the first of my three kids from Loop (Omnipod) to the t:slim x2 and I am loving it.
Her time in range has gone from 69% to 85% and we have many days 95% in range.
The battery life is amazing and it’s quick and easy to Bolus from either the phone app or the pump.
After 3 years on loop, dependent on the phone, I’m glad to be able to bolus my 8 year old if she forgets her phone. (That won’t be such a problem for adults who use their pocket computer regularly, and they may want to look at the Tandem Mobi).
I am trying to switch my two other kids to the x2 because the results we are having are so good.
I agree the site change is more tedious but I know I’ll get the hang of it very quickly after several changes.
Thank you so much for this video! I'm looking at maybe getting this pump, but I do have one comment/question about the insulin wastage...I'm not quite sure what you mean about insulin being left in the bladder because it seems to me that, aside from the 10 units you lose in repriming when you refill, you could just keep refilling the bladder so that none will go unused. Can you provide some clarification on that please?
Thank you!
Medtronic is the absolute *WORST*
Customer service is non existent. And their pumps look like a 1980's pager with no apps that can show your blood glucose on your phone. It's 2023. C'mon, Medtronic. Get your crap together.
Wow, what a video. I am due for a new pump and I have been on Medtronic for 20 years. My Paradigm 530g work horse finally died, so I’m thinking about getting the T-Slim so it can work in conjunction with my Dex. Thank you so much for making such a thorough video, especially when it comes to the ‘cons’ of the pump. I can see that it will be an adjustment for me, especially with the amount of button pushes I need to get to a bolus, compared to the simplicity of the Medtronic Paradigm pumps. Still, I think i’ going to go for it. Thanks!
My fiver year old son he has adhd and has this and it’s been better then the shots Lantus all day, Humalog fast acting instead of sharp spikes and sharp drops this insulin pump has controlled it better and doesn’t give the full amount at first so when we pre treat his food and doesn’t eat everything we can recalculate it and if your sugar needs a correction depending the number your calculation on the sugar level the machine will let you know what correction he needs and it will give him the shot for the next 4 hours at like 1 unit an hour also has an activity mode that so he can play outside and this machine learns your habits and knows when your asleep. I highly recommend , we took classes to learn this machine and I can tell you it’s well worth it. It
Aaaa i cringed When you dropped it in waterrr lol
Thank you so much for the details. I really wanted to consider getting this pump, but filling that sucker is not going to work for me due to damaged vision. Sigh.
I did not get your comment about filling the infusion set. Of course it needs to be filled on all pumps or it will pump air into you body before actual insulin. Also once you connect the reservoir with the infusion set you should always discard them together. You should not disconnect the reservoir from the infusion set once connected because after that you might once again push air into your body instead of insulin and the dosage will not be correct.
I mean, if it takes an hour for the pump to fully charge it's fine for me because I usually sleep at about 8pm and charge my phone an hour before going to sleep and it gets fully charged.
Hi, my son is type 1 diabetic studying in USA. He is using T slim. But facing issues. Can I get your contact no to discuss certain issues he is facing
Medtronic pumper x20 yrs. & I am done with it. Looking forward to getting a Tandem t:slim x2 with control iq. I downloaded the Tandem app with pump simulator and like it a lot.
Of course changing the reservoir is so easy with Medtronic, but the thought of going back to the Medtronic sensor with charging the transmitter periodically, the insertion procedure, triple taping, fingersticks, and changing it weekly-I just can’t. It’s a trade off with Tandem’s bladder reservoir with a tail. And you get a bigger screen with Tandem.
Please keep the videos coming! Very informative and I learn from the comments too. Thank you.